PAMPANGA MEDICAL SPECIALIST HOSPITAL

San Antonio, Guagua, Pampanga

NURSING SERVICE

TRADE / EXCHANGE OF DUTY

I, ____________________________, a ______________ staff, ___________ shift, would

like to trade or exchange my schedule of duty to _________________________,
__________shift on _________________ (date & shift) to _______________ (date & shift).

We are both liable in violation of the exchange/trade of duty.

_______________________ _______________________
Signature over printed name Signature over printed name

_______________________
Signature over printed name

PAMPANGA MEDICAL SPECIALIST HOSPITAL

San Antonio, Guagua, Pampanga

NURSING SERVICE

TRADE / EXCHANGE OF DUTY

I, ____________________________, a ______________ staff, ___________ shift, would

like to trade or exchange my schedule of duty to _________________________,
__________shift on _________________ (date & shift) to _______________ (date & shift).

We are both liable in violation of the exchange/trade of duty.

_______________________ _______________________
Signature over printed name Signature over printed name

_______________________
Signature over printed name